Fort Austin Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

113161 Issued in TX

Legal business name

FORT AUSTIN LIMITED PARTNERSHIP

Doing business as

Brookdale Broadway Cityview

Practice address

5301 Bryant Irvin Rd
Fort Worth, TX 76132-4030

Phone

(817) 294-2280

Fax

(817) 294-3222

NPI assigned

May 1, 2006

Organization subpart

Yes

Parent organization

BROOKDALE SENIOR LIVING INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan Richardson

Title

Evp/Cao

Phone

(615) 221-2250

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Broadway Cityview Doing business as

Part of

Brookdale Senior Living Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1093773178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 BRYANT IRVIN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324030",
            "telephone_number": "817-294-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BRYANT IRVIN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324030",
            "telephone_number": "817-294-2280",
            "fax_number": "817-294-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT AUSTIN LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2006-05-01",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "EVP/CAO",
        "authorized_official_telephone_number": "615-221-2250"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "113161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Broadway Cityview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaun Michael Foret
• Clara Formusoh, NP
• Kandace Forooshani-Ficklin
• Clara Sue Forrester, CPNP
• Alyssa Nicole Forsyth
• Fort Healthcare LLC
• Fort Healthcare LLC
• Fort Physicians & Professionals PLLC
• Fort Physicians & Professionals PLLC
• Fort Wellness, PLLC

• Skilled Nursing Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.